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Home My WebLink AboutE2015-0149 - PermitsCity of Newport Beach - Building Division IIII I I III II III II III I IIII I II Electrical Permit: E2015-�149 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 5 0 1 4 9 Project No: i Per ti Permit Counter Phone (949)644-3288 - �agga+ Inspection Requests Phone (949)644-3255 Job Address: 1409 HIGH BLUFF DR Bldg: 1 Floor: Suite: Description of Work: ELEC/GAS TO BBQ (<42") Inspector Area: 3 Code Edit: 2013 Legal Description: N TR 15243 LOT 18 Owner: JUNKINS MITCHELL Contractor: PROMONTORY POOLS INC Worker's Compensation Insurance Address: 1409 HIGH BLUFF DR Address: 17401 IRVINE BLVD STE B Carrier: STATE FUND NEWPORT BEACH, CA 92660 TUSTIN CA 92780 Policy No: 0699054 Phone: Phone: 714-993-0664 Expire : 04/01/2015 Con State Lic: 404194 Issued Date:03/16/2015 Lic Expire: 0313112015 f Bus Lic: BT30043247 Processed By: � )Y r I�L� Lic Exp Date: 0513112015 FEES New Construction Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Residential Receptacles/Outlets: 3 $3.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Service Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 0-600V up to 200A: 0 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 O/H to U/G 0 $0.00 Supplemental Fee: $0.00 TOTAL Fee : $38.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION L L V o 4 1 )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5; Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ploy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements .covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Da .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withSectision 3 of the Business and P fe n Cod and icense is in full force nd effect. icense Class - License No Date Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (a100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. Policy No. rl have and vyi 4-Wintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Date lame of Agent rnone R ]I certify that, in the performance ork for w ' In this it is as d, I shall not employ any person in any manner so as to become subject to the workers' onr pe sation laws of California, and agre iat, if I should become subject the wor o ensati provis' of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant IECLARATIONi REGAR I TRI.JbTION,NDINCENC hereby affirm Under penalty of perj ry that a is struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name' Ender's Address Iy my signature below, I certify o each of the following: I am the property owner or authorized to act on the prop wner's be If. Ir,^G/\) /.✓y/� ^� /// I have read this application and the information I ty rovid is I. IFl/ I agree to comply with all applicable city and county rdinanc n slat aws re g to building construction. I authorize representatives of this city or county to a ter the ov -id ified p any for inspection purposes. 1 ACTION DATE gy DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FECFRI L REGLU.TR).YS PART f 1 CF TITLE40 AND APMD RULE 1403. [] ISL'EMITTEDAS&LSTOS.W11F:C;TIONTO: ❑ EPA ❑ AQMD ❑ ASRFSTOS N07IRCA17ON IS NOT APPLICABLE TO PT.'OI`OSED D`KOL'TION. PERMIT EXPSRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL C€RTIFICAT&OF SIGJA7URE. OCCUPANCYfSSUED